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BAIN DE VIE CORY LAKE ISLE LLC NPI 1891053294


NPI Information

NPI: 1891053294
Provider Name: BAIN DE VIE CORY LAKE ISLE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10311 CROSS CREEK BLVD
SUITE E
TAMPA, FL
ZIP 33647
Phone: (813) 907-9898
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BAIN DE VIE CORY LAKE ISLE LLC is a chiropractor in Tampa, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BAIN DE VIE CORY LAKE ISLE LLC NPI is 1891053294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10311 CROSS CREEK BLVD
SUITE E
TAMPA, FL
ZIP 33647-989
Phone: (813) 907-9898
Fax: (813) 907-0220

The provider's authorized official is Timothy Filmore Bain .
The authorized official title is President and has the following contact phone number (813) 907-9898.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 4/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH8562FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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